|The ASC X12 Health Care Claim Acknowledgement (277) implementation guide is a business application level acknowledgement for the ASC X12 Post Adjudicated Claim Data Reporting (837) transaction(s). This acknowledges the validity and acceptability of the claims at the pre-processing stage.
Information Source may pre-process claims to determine whether or not to introduce them to their system. This process is performed so claims that are incorrectly formatted or missing information can be corrected and resubmitted by the Information Receiver.
The level of editing in pre-process programs will vary from system to system. Although the level of editing may vary, this transaction provides a standard method of reporting acknowledgement of claims. The business function identifies claims that are accepted as well as those that are not accepted. This 277 transaction is the only notification of claim status.
|Transaction Set ID||277||Standard Version||005010|
|ASC X12 DM#||Owning Group||X12N/TGB/WG22|